Midwifery Practice 2

Course code NURS6170Units 10Level 6000Faculty of Health and MedicineSchool of Nursing and Midwifery

Using midwifery and collaborative models of care students commence workforce clinical experience. They continue caring for well women and babies including 1-2-1 relationships adding up to 10 new women. This course builds on Midwifery Practice 1 and develops students' knowledge and clinical skills in caring for women and babies with complex needs. Students will use knowledge of family planning, peri operative care, infection control, wound management, pathophysiology, pharmacology, pain management, emergency management, basic counselling, critical reflection and best-evidence practice guidelines. Inter-professional learning with medical students is incorporated into some face-to-face sessions.

Not available in 2014

Previously offered in 2010, 2009, 2008, 2007, 2006, 2005, 2004
ObjectivesUpon completion of the learning activities for this course, supported by appropriate use of the literature & self directed study the student will be able to:

1. Prepare to become a student midwife in the workforce environment by reflecting on identity, inner and outer conflict and survival strategies;
2. Remain cognizant of the importance of the impact of environment and the need for woman-centred, sensitive midwifery and apply evidence-based knowledge (as appropriate) to effectively support women and babies when;
a. babies are in complicated vertex positions;
b. providing antenatal care for women at all levels of risk;
c. women bleed in pregnancy or labour;
d. Women have pregnancy-induced hypertension
e. women have inductions or augmentation of labour;
f. women and babies experience prolonged labour;
g. women undergo surgical births including management of postoperative pain, wound care and complications;
3. Maintain a woman-centred focus whilst managing obstetric emergencies: ie post partum haemorrhage, shoulder dystocia, cord prolapse, neonatal resuscitation
4. Remain cognisant of the importance of the impact of environment and the need for woman-centred, sensitive midwifery, apply evidence-based knowledge to effectively support women and babies who experience challenges with lactation;
5. Maintaining an awareness of the baby's profound need to be skin-to-skin with it's mother, assess baby wellbeing after birth and perform resuscitation if required;
6. Educate woman about allo-immunisation
7. Maintain an awareness of the baby's profound need for ongoing connection to it's mother care for babies who experience physiological jaundice;
8. Participate in the support of women, babies and families when birth has been difficult, traumatic or disappointing; and
9. Demonstrate satisfactory progress in workforce clinical experience and 1-2-1 relationships with women.
ContentAntenatal, intrapartum and postpartum care for the woman at risk; bleeding in pregnancy; bleeding during labour; posterior position of the vertex; pregnancy induced hypertension; induction and augmentation of labour; prolonged labour; surgical birth; obstetric emergencies; neonatal assessment and care; neonatal resuscitation; allo immunisation; respiratory distress; jaundice; difficulties with breastfeeding; loss and grief and postnatal depression. At the commencement of each trimester the lecturer will supply a time-table outlining specific issues to be addressed. Students are encouraged to prepare for these sessions by pre-reading texts and research articles related to the issues outlined in the time-table.

Module 1 - Introduction to Midwifery Workforce
Module 2 - Maternity Emergencies
Module 3 - Complicate Antenatal Care
Module 4 - Fetal Monitoring
Module 5 - Prolonged Labour
Module 6 - Challenges in Breastfeeding
Module 7 - Caesarean Care
Module 8 - The Compromised Baby
Replacing Course(s)n/a
Industrial Experience1
Assumed KnowledgeAll students enrolled in this course must have a current authority to practice as a registered nurse issued by the Nursing and Midwifery Board of Australia, and participate in midwiferty clinical practice. For those students requiring clinical experience, there must be evidence of screening and vaccinations against infectious diseases as required for health professionals in NSW health facilities.

This course builds on knowledge and skills developed in the courses NURS6160 Midwifery Practice 1 and NURS6580 Midwifery Practice Issues.
Modes of DeliveryDistance Learning : IT Based
Flexible Delivery / Student Centred Learning
Teaching MethodsClinical
Email Discussion Group
Experience Based Learning
Self Directed Learning
Assessment Items
Examination: FormalMultiple Choice
Other: (please specify)Completion of the K2MS package
Other: (please specify)Online reflective postings and responses
Other: (please specify)Clinical progress report
Other: (please specify)1-2-1 follow through progress report
Contact HoursWorkshop: for 28 hour(s) per Term for Full Term
Email Discussion Group: for 2 hour(s) per Week for 8 weeks
Self Directed Learning: for 6 hour(s) per Week for 11 weeks
Compulsory Components
Requisite by EnrolmentThis course is only available to students enrolled in the Graduate Diploma of Midwifery or Master of Midwifery Studies Programs.
Compulsory Course ComponentOHS-Criminal Record Check
Compulsory Course ComponentOHS-Prohibited Employment Declaration
Compulsory Program ComponentNURS6160 Midwifery practice 1